Individual
EKATERINA SEMOUKHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1355 15TH ST, FORT LEE, NJ 07024-2039
(201) 224-8717
Mailing address
605 MAIN ST, HACKENSACK, NJ 07601-5914
(201) 488-0488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA01462900
NJ
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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